Individual
DOMINIC PUENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7400 MERTON MINTER ST, SAN ANTONIO, TX 78229-4404
(210) 617-5300
Mailing address
131 CLEARVIEW DR, SAN ANTONIO, TX 78228-1938
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
187588
TX
164X00000X
Licensed Vocational Nurse
Primary
187588
TX
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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